Individual
KRYSTEN ARIELLA COSTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19450 DEERFIELD AVE, LEESBURG, VA 20176-6820
(571) 707-8522
(571) 707-8577
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101279428
VA
Other
Enumeration date
03/07/2019
Last updated
09/21/2023
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